The nurse is assessing the apical pulse. Where should the stethoscope be placed?
Between the fourth and fifth intercostal space.
Between the third and fourth intercostal space.
Between the second and third intercostal space.
Between the first and second intercostal space.
The Correct Answer is A
Choice A rationale
The apical pulse is located at the fifth intercostal space at the left midclavicular line.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Independent thinking is a necessary component of critical thinking; however, it refers to the ability to think for oneself and make one’s own decisions. It doesn’t directly relate to a nursing student confidently communicating with a patient before performing a procedure for the first time.
Choice B rationale
Confidence is a critical thinking attitude that involves believing in one’s own abilities and knowledge. A nursing student confidently communicating with a patient before performing a procedure for the first time demonstrates this attitude.
Choice C rationale
Fairness in critical thinking involves considering all viewpoints and treating them equally. It doesn’t directly relate to a nursing student confidently communicating with a patient before performing a procedure for the first time.
Choice D rationale
Creativity in critical thinking involves thinking outside the box and coming up with innovative solutions. It doesn’t directly relate to a nursing student confidently communicating with a patient before performing a procedure for the first time.
Correct Answer is A
Explanation
Choice A rationale
Explaining interventions prior to performing them is a key aspect of patient autonomy. It allows patients to understand what is happening to them and gives them the opportunity to ask questions or refuse treatment if they wish.
Choice B rationale
While keeping patient information private is important and is part of the ethical principle of confidentiality, it does not directly support patient autonomy.
Choice C rationale
Bringing back medication at the stated time supports the principle of beneficence (doing good) and reliability but does not directly support patient autonomy.
Choice D rationale
Providing equal care to all patients is part of the ethical principle of justice, not autonomy.
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